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One Stage Operation of Colon Perforation
Journal of the Korean Society of Coloproctology ; : 493-502, 1998.
Artículo en Coreano | WPRIM | ID: wpr-50853
ABSTRACT
Colon has the highest bacterial concentration in the gastrointestinal tract. When the colon is perforated, the operator has to decide whether to perform primary closure, resection with anastomosis, proximal colostomy, and exteriorizatoion. In this retrospective study, from October, 1993, through July 1998, 56 patient with panperitonitis due to colon perforation were operated at Ewha womans University medical center. The rectal perforation was limited the intraperitoneal portion. Our cases were divided into two groups. Group I included 34 patients who treated with one step operations of primaryrepair or resection anastomosis. Group II included 22 patients who treated with two step operations of proximal colostomy or exteriorization. The one step operations were performed in 34 patients, proximal colostomy in 21 patients, and exteriorization in 1 patient. There was 13.7% in the incidence of motality and 33.3% in the incidence of morbidity. The Chi-square test was used to evaluate the significance of differences between two groups. Independent risk factors for adverse outcomes were compared and used to analyse the probability for adverse outcomes with respect to the mode of treatmen. The mode of treatment was not dependent on the risk factors. These results suggest that one could select positively primary closure or resection with anastomosis for the treatment of patients with panperitonitis due to colon perforation.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Colostomía / Incidencia / Estudios Retrospectivos / Factores de Riesgo / Colon / Tracto Gastrointestinal / Centros Médicos Académicos Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos Idioma: Coreano Revista: Journal of the Korean Society of Coloproctology Año: 1998 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Colostomía / Incidencia / Estudios Retrospectivos / Factores de Riesgo / Colon / Tracto Gastrointestinal / Centros Médicos Académicos Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos Idioma: Coreano Revista: Journal of the Korean Society of Coloproctology Año: 1998 Tipo del documento: Artículo